Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device

As left ventricular assist devices (LVADs) become more prevalent, it is increasingly likely that patients with LVADs will require non cardiac procedures. Peri-procedural anticoagulation management is challenging in these patients and requires balancing risks of bleeding and pump thrombosis. We prese...

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Detalles Bibliográficos
Autores principales: Gulati, Gaurav, Kiernan, Michael, Sabe, Marwa A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Endourology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796679/
https://www.ncbi.nlm.nih.gov/pubmed/31641612
http://dx.doi.org/10.1016/j.eucr.2019.101033
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author Gulati, Gaurav
Kiernan, Michael
Sabe, Marwa A.
author_facet Gulati, Gaurav
Kiernan, Michael
Sabe, Marwa A.
author_sort Gulati, Gaurav
collection PubMed
description As left ventricular assist devices (LVADs) become more prevalent, it is increasingly likely that patients with LVADs will require non cardiac procedures. Peri-procedural anticoagulation management is challenging in these patients and requires balancing risks of bleeding and pump thrombosis. We present a case of a patient with a HeartWare LVAD who developed a massive retroperitoneal hemorrhage after external shock wave lithotripsy (ESWL) for an obstructing renal calculus and briefly review the literature regarding bleeding complications after ESWL as well as peri-procedural anticoagulation management of patients with LVADs.
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spelling pubmed-67966792019-10-22 Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device Gulati, Gaurav Kiernan, Michael Sabe, Marwa A. Urol Case Rep Endourology As left ventricular assist devices (LVADs) become more prevalent, it is increasingly likely that patients with LVADs will require non cardiac procedures. Peri-procedural anticoagulation management is challenging in these patients and requires balancing risks of bleeding and pump thrombosis. We present a case of a patient with a HeartWare LVAD who developed a massive retroperitoneal hemorrhage after external shock wave lithotripsy (ESWL) for an obstructing renal calculus and briefly review the literature regarding bleeding complications after ESWL as well as peri-procedural anticoagulation management of patients with LVADs. Elsevier 2019-10-07 /pmc/articles/PMC6796679/ /pubmed/31641612 http://dx.doi.org/10.1016/j.eucr.2019.101033 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Endourology
Gulati, Gaurav
Kiernan, Michael
Sabe, Marwa A.
Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
title Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
title_full Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
title_fullStr Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
title_full_unstemmed Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
title_short Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
title_sort massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist device
topic Endourology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796679/
https://www.ncbi.nlm.nih.gov/pubmed/31641612
http://dx.doi.org/10.1016/j.eucr.2019.101033
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AT sabemarwaa massiveretroperitonealhemorrhageafterexternalshockwavelithotripsyinapatientwithaleftventricularassistdevice

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